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NPI Code Detail

MEDICARE: KIMBALL MEDICAL CENTER, INC

MEDICARE: KIMBALL MEDICAL CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207V00000XObstetrics & Gynecology Physician
3208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053360990
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIMBALL MEDICAL CENTER, INC
Provider Business Mailing Address
First Line : LOCKBOX 9307, PO BOX 8500
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-9307
Country : US
Telephone Number : 732-557-7119
Fax Number : 732-557-7109
Provider Business Practice Location Address
First Line : 600 RIVER AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5237
Country : US
Telephone Number : 732-363-1900
Fax Number : 732-942-4422
Authorized Official
Title or Position : MANAGER
Name : MS. GALINA BEGUN
Credential :
Telephone Number : 732-557-7119
Provider Enumeration Date : 05/08/2006
Last Update Date : 05/26/2010

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Directions to “KIMBALL MEDICAL CENTER, INC ” Practice Location

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